Individual
REDDIWANDLA SEENU REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5565 GROSSMONT CENTER DR. BLDG.1 SUITE 202, LA MESA, CA 91942
(619) 461-6130
(619) 461-3108
Mailing address
5565 GROSSMONT CENTER DR. BLDG.1 SUITE 202, LA MESA, CA 91942
(619) 461-6130
(619) 461-3108
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A38098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380980
—
CA
Enumeration date
08/05/2006
Last updated
02/18/2022
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